A313

PDF page 303 / A175

CONSULTATIONS AND VISITS
      PHYSICAL MEDICINE & REHABILITATION (31)
                 GENERAL LISTINGS
               A315 Consultation............................................................................              220.80
                 Comprehensive physical medicine and rehabilitation consultation
                   A comprehensive physical medicine and rehabilitation consultation is a consultation in which
                   the physician provides all the elements of a consultation and spends a minimum of 75 minutes
                   in direct contact with the patient, exclusive of time spent rendering any other separately billable
                   intervention to the patient.
               A425 Comprehensive physical medicine and rehabilitation
                         consultation ........................................................................ 342.25
                                          Payment rules:
                                          A comprehensive physical medicine and rehabilitation consultation is limited to one every 2
                                          years by the same physician.
                                          Medical record requirements:
                                          The start and stop time must be recorded in the patient’s permanent medical record or the
                                          payment for the service will be reduced to a lesser fee.
                                          [Commentary:
                                          Unless otherwise specified in the Schedule, the calculation of time excludes (1) time devoted to
                                          any other service or procedure for which an amount is payable in addition to the consultation
                                          and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
                                          documentation, etc.]
               A515 Limited consultation ................................................................                 106.60
               A316 Repeat consultation ................................................................                  106.60
               A313 Medical specific assessment ..................................................                         86.40
               A310 Medical specific re-assessment..............................................                           75.90
               A311 Complex medical specific re-assessment...............................                                  82.75
               A318 Partial assessment .................................................................                   44.45
               E078                           - chronic disease assessment premium (see General
                                                Preamble GP25) ................................................ add 50%

Master, record 161. Record Layout PDF, page 1.

A31320260401999999990000000000000000000000000008640000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.